Trauma surgery doesn’t end when the operation is over. Dr. Tanya Zakrison joins Dr. Adam Cifu to reflect on the patient-trauma surgeon relationship, and the frustration of caring deeply for patients while knowing you cannot fix everything that led them there. She discusses how trauma care exposes challenges rooted in patients’ living conditions and circumstances, why surgeons cannot ignore what happens outside the hospital, and how to stay present with patients and families without absorbing all of that pain. The conversation centers on the emotional weight of trauma work and how trauma surgeons learn to carry it without becoming detached or burned out.

Genetic information can raise the stakes of a clinical conversation in ways that go far beyond test results. Dr. Adam Cifu and Dr. Sonia Kupfer reflect on how uncertainty, evolving evidence, and family implications shape the way physicians counsel patients. Kupfer draws from her experience in clinic to illustrate how recommendations may shift over time, while emphasizing the responsibility of helping patients feel supported, informed, and firmly in control of decisions that can affect far more than just one person.

Winner of the 2025 Bucksbaum-Siegler Institute Clinical Excellence Award, Dr. Kertesz reflects on the work of building a relationship before clinical decisions take shape, particularly with patients who arrive wary after difficult experiences with healthcare. He describes how poorly chosen language can instantly make a patient feel judged, forcing him to slow down and work his way back into the interaction. The discussion also underscores why understanding what a patient wants from an encounter is essential to how care is explained and delivered.